John Brennan Hunter Whitacre, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-53201 Issued in IA

Practice address

2213 2ND Street
Coralville, IA 52241-1205

Phone

(319) 358-2406

NPI assigned

Jun 16, 2020

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1720603608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "319-338-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 2ND STREET",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411205",
            "telephone_number": "319-358-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "JOHN BRENNAN",
        "middle_name": "HUNTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-53201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMANENT LICENSE",
            "identifier": "MD-53201",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Beth Welter
• Cassidy Wendler
• Elizabeth Lavon Westermann, DNP
• Bailey J Wetherell, DPT
• Kaitlyn K Wheelan
• Anthony Richard White, RD, LD
• Raymond Todd Wiblin, MD
• James Alan Wiese, M.D.
• Lisa Willette
• David M. Williams, P.T.

• Psychiatry Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.